The Relationship between oral health and chronic kidney disease in Klonglan district, Kamphangphet province.
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Published:
Dec 31, 2017
Keywords:
chronic kidney disease oral health caries functional tooth periodontal pocket
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Abstract
This survey research aimed to evaluate the relationship between oral health and stage of 1,011 chronic kidney disease (CKD) patients in Klonglan district, Kamphangphet province. Dental and periodontal status examination and interviewing health information and tooth-brushing were done during November–December 2016. Data were analyzed using descriptive statistics, t-test, chi-square and stepwise multiple regression. The significance level was set at 0.05. Most patients were women, having aged 60 years old or higher, 55.7 % were moderate CKD, average estimated glomerular filtration rate (eGFR) was 55.3 milliliters per minute per 1.73 square meters, 51% had hypertension, 65.1% brushed their teeth at least 2 times a day and 60.4% brushed before bed. The mean DMFT was 11.62 teeth per person. Average functional teeth were 21.85 teeth per person. 49.6% had periodontal disease needed to be treated while 92.4 % need dentures. The mild and moderate to severe CKD group had significant different of caries experience and functional teeth and eGFR significantly related to periodontal disease. Age and tooth brushing related to mean DMFT and functional teeth significantly while having occupation and eGFR significantly related to periodontal pocket depth. The oral health care for the patients should be set with collaboration among multidiscipline professions to maintain oral hygiene to prevent diseases progression and complications.
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เฮงตระกูลเวนิช ก, คงหอม ศ, พรมชาติ ก. The Relationship between oral health and chronic kidney disease in Klonglan district, Kamphangphet province. Th Dent PH J [Internet]. 2017 Dec. 31 [cited 2024 Dec. 22];22(2):48-57. Available from: https://he02.tci-thaijo.org/index.php/ThDPHJo/article/view/148696
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References
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29. Kressin NR, Boehmer U, Nunn ME, Spiro A 3rd. Increased preventive practices lead to greater tooth retention. J Dent Res 2003; 82(3):223–7.
30. Luo J, Qu Z, Rockett I, Zhang X. Employ-ment status and self-rated health in north-western China. Public Health 2010; 124(3): 174-9.
31. Bambra C, Eikemo TA. Welfare state regimes, unemployment and health: a comparative study of the relationship between unem-ployment and self-reported health in 23 European countries. J Epidemiol Community Health 2009; 63(2):92-8.
32. Al-Sudani FY, Vehkalahti MM, Suominen AL. The association between current unemployment and clinically determined poor oral health. Community Dent Oral Epidemiol 2015; 43(4):325-37.
33. Al-Sudani FY, Vehkalahti MM, Suominen AL. Association of current employment status with oral health-related behaviors: findings from the Finnish Health 2000 Survey. Eur J Oral Sci 2016; 124(4):368-76.
34. Rix M, Andreassen H, Eskildsen P, Langdahl B, Olgaard K. Bone mineral density and biochemical markers of bone turnover in patients with predialysis chronic renal failure. Kidney Int 1999; 5(3):1084-93.
35. Tadakamadla J, Kumar S, Mamatha GP. Comparative evaluation of oral health status of chronic kidney disease (CKD) patients in various stages and healthy controls. Spec Care Dentist 2014; 34(3). doi: 10.1111/scd.12040
2. Kato S, Chmielewski M, Honda H, Pecoits-Filho R, Matsuo S. Aspects of immune dysfunction in end-stage renal disease. Clin J Am SocNephrol 2008; 3(5). doi: 10.2215/CJN.00950208
3. James MT, Hemmelgarn BR, Tonelli M. Early recognition and prevention of chronic kidney disease. Lancet 2010; 375(9722). doi: 10.1016/S0140-6736(09)62004-3
4. Non-communicable diseases Bureau. Manual of chronic kidney disease in diabetic patients and hypertension. Bangkok: WVO office of Printing Mill; 2015. (in Thai)
5. Galili D, Berger E, Kaufman E. Pulp narrowing in renal end stage and transplanted patients. J Endod 1991; 17(9): 442–3.
6. Vesterinen M, Ruokonen H, Leivo T, Honkanen AM, Honkanen E. Oral health and dental treatment of patients with renal disease. Quintessence Int 2007; 38(3): 211-9.
7. Klassen JT, Krasko BM. The dental health status of dialysis patients. J Can Dent Assoc 2002; 68(1):34-8.
8. Ganibegovic M. Dental radiographic changes in chronic renal disease. Med Arh 2000;54(2): 115–8.
9. Gavalda C, Bagan J, Scully C, Silvestre F, Milian M, Jimenez Y. Renal hemodialysis patients: oral, salivary, dental and periodontal findings in 105 adult cases. Oral Dis 1999; 5(4): 299–302.
10. Thomason JM, Seymour RA, Rice N. The prevalence and severity of cyclosporin and ifedipine induced gingival overgrowth. J Clin Periodontol 1993; 20(1):37-40.
11. Bayraktar G, Kazancioglu R, Bozfakioglu S, Yildiz A, Ark E. Evaluation of salivary parameters and dental status in adult hemodialysis patients. Clin Nephrol 2004; 62(5):380–3.
12. Kao CH, Hsieh JF, Tsai SC, Ho YJ, Chang HR. Decreased salivary function in patients with end-stage renal disease requiring hemodialysis.Am J Kidney Dis 2000; 36(6): 1110–4.
13. Attin T. Hornecker E. Tooth Brushing and oral health: How frequently and when should tooth brushing be performed ? Oral Health & Preventive Dentistry 2005; 3(3):135-40.
14. Konig KG, Navia JM. Nutritional role of sugars in oral health. Am J Clin Nutr 1995; 62(1): 275S-82S.
15. Holmes RD. Tooth brushing frequency and risk of new carious lesions. Evid Based Dent 2016; 17(4). doi:10.1038/sj.ebd.6401196.
16. Lertpimonchai A, Rattanasiri S, Arj-Ong Vallibhakara S, Attia J, Thakkinstian A. The association between oral hygiene and periodontitis: a systematic review and meta-analysis. Int Dent J 2017. doi: 10.1111/idj.12317
17. Zimmermann H, Zimmermann N, Hagenfeld D, Veile A, Kim TS, Becher H. Is frequency of tooth brushing a risk factor for periodontitis? A systematic review and meta-analysis. Community Dent Oral Epidemiol 2015; 43(2):116-27.
18. Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed ? Oral Health Prev Dent 2005; 3(3):135-40.
19. Nakano K, Okawa R, Miyamoto E, Ooshima T. Tooth brushing and dietary habits associated with dental caries experience: analysis of questionnaire given at recall examination. Pediatr Dent 2008; 18(1):74-7.
20. Ausavarungnirun R, Wisetsin S, Rongkiette-chakorn N, Chaichalermsak S, Udompol U, Rattanasompattikul M. Association of dental and periodontal disease with chronic kidney disease in patients of a single, tertiary care centre in Thailand. BMJ Open 2016; 6(7). doi: 10.1136/bmjopen-2016-011836
21. Kijsanayothin S. Oral health status of Thai patients with chronic kidney disease in sukhothai hospital, Thailand. M Dent J 2015; 35: 11-9.
22. Akar H, Akar GC, Carrero JJ, Stenvinkel P, Lindholm B. Systemic consequences of poor oral Health in chronic kidney disease patients. Clin J Am Soc Nephrol 2011;6(1):218–26.
23. Dental Health Bureau. The 7th national oral health survey 2012 of Thailand. Bangkok: Department of Health; 2013. (in Thai)
24. World Health Organization. Oral health survey: basic methods. 5th ed. France: World Health Organization; 2013.
25. Kshirsagar AV, Moss KL, Elter JR, Beck JD, Offenbacher S, Falk RJ. Periodontal disease is associated with renal insufficiency in the Atherosclerosis Risk In Communities (ARIC) study. Am J Kidney Dis 2005; 45(4):650-7.
26. Bernabé E, Sheiham A. Age, period and cohort trends in caries of permanent teeth in four developed countries. Am J Public Health 2014;104(7). doi: 10.2105/AJPH.2014.301869
27. Chestnutt IG, Schafer F, Jacobson AP, Stephen KW. The influence of toothbrushing frequency and post-brushing rinsing on caries experience in a caries clinical trial. Community Dent Oral Epidemiol 1998; 26(6):406-11.
28. Batista MJ, Rihs LB, Sousa MLR. Risk indi-cators for tooth loss in adult workers. Braz O
Research 2012; 26(5): 390-6.
29. Kressin NR, Boehmer U, Nunn ME, Spiro A 3rd. Increased preventive practices lead to greater tooth retention. J Dent Res 2003; 82(3):223–7.
30. Luo J, Qu Z, Rockett I, Zhang X. Employ-ment status and self-rated health in north-western China. Public Health 2010; 124(3): 174-9.
31. Bambra C, Eikemo TA. Welfare state regimes, unemployment and health: a comparative study of the relationship between unem-ployment and self-reported health in 23 European countries. J Epidemiol Community Health 2009; 63(2):92-8.
32. Al-Sudani FY, Vehkalahti MM, Suominen AL. The association between current unemployment and clinically determined poor oral health. Community Dent Oral Epidemiol 2015; 43(4):325-37.
33. Al-Sudani FY, Vehkalahti MM, Suominen AL. Association of current employment status with oral health-related behaviors: findings from the Finnish Health 2000 Survey. Eur J Oral Sci 2016; 124(4):368-76.
34. Rix M, Andreassen H, Eskildsen P, Langdahl B, Olgaard K. Bone mineral density and biochemical markers of bone turnover in patients with predialysis chronic renal failure. Kidney Int 1999; 5(3):1084-93.
35. Tadakamadla J, Kumar S, Mamatha GP. Comparative evaluation of oral health status of chronic kidney disease (CKD) patients in various stages and healthy controls. Spec Care Dentist 2014; 34(3). doi: 10.1111/scd.12040